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1902515810
JOSE ORCASITA-NG, LLC
HIALEAH, FL
NPI
1902515810
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Entity Type
Organization
Authorized Contact
JOSEPH N DE VERA
COO
305-649-8100
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2022-11-18
Last Update Date
2022-11-18
Business Address
JOSE ORCASITA-NG, LLC
7000 W 12TH AVE UNIT 21-22
HIALEAH, FL 33014-5154
Phone number: 305-362-9560
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Mailing Address
JOSE ORCASITA-NG, LLC
1000 NW 57TH CT STE 400
MIAMI, FL 33126-3292
Phone number: 305-649-8100
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